Acute Mesenteric Ischemia after Coronary Artery Bypass Grafting

Chien-Ting Liu ； Guo-Shiou Liao ； Chien-Sung Tsai ； Yeu-Chin Chen ； Chih-Yuan Lin

《Journal of Medical Sciences》 33卷6期 (2013/12) Pp. 369-372

https://doi.org/10.6136/JMS.2013.33(6).369

並列摘要

Acute mesenteric ischemia is a rare but severe complication after open heart surgery. Its incidence is quite low, but the mortality rate is reported to be tremendously high. This study reported a 63-year-old male who underwent coronary artery bypass grafting due to three-vessel coronary artery disease and non-ST segment elevation myocardial infarction. The operation of coronary artery bypass grafting was performed smoothly without immediate complication. On postoperative day 2, acute abdominal pain developed and acute mesenteric ischemia was considered via physical examination and computerized tomographic scan. An exploratory laparotomy revealed segmental necrosis of jejunum and bowel resection followed by end-to-end anastomosis was performed. This patient had an uneventful recovery and was discharged under a good functional status.

並列關鍵字

acute mesenteric ischemia ； acute abdomen ； coronary artery bypass grafting

參考文獻

Tsiotos GG, Mullany CJ, Zietlow S, van Heerden JA. Abdominal complications following cardiac surgery. Am J Surg 1994;167:553-557.

Yoshida K, Matsumoto M, Sugita T, Nishizawa J, Matsuyama K, Tokuda Y, Matsuo T. Gastrointestinal complications in patients undergoing coronary artery bypass grafting. Ann Thorac Cardiovasc Surg 2005;11:25-28.

Allen KB, Salam AA, Lumsden AB. Acute mesenteric ischemia after cardiopulmonary bypass. J Vasc Surg 1992;16:391-396.

Kaleya RN, Sammartano RJ, Boley SJ. Aggressive approach to acute mesenteric ischemia. Surg Clin North Am 1992;72:157-182.

Wilcox MG, Howard TJ, Plaskon LA, Unthank JL, Madura JA. Current theories of pathogenesis and treatment of nonocclusive mesenteric ischemia. Dig Dis Sci 1995;40:709-716.